WHO-5 Well-being Index Research Articles

A Glimmer of Hope: The Impact of the Recovery College Bern on Personal Recovery, Well-Being and Self-Stigmatisation-A Mixed Methods Study.

Recovery Colleges are mental health education centres co-produced by experts with lived experience with mental health problems and mental health professionals. The aim of the study was to evaluate the impact of a Recovery College in Switzerland on its students' mental health measured through personal recovery, well-being and self-stigmatisation in a mixed methods approach following the MMARS guideline. Three standardised questionnaires 'Questionnaire about the Process of Recovery', 'WHO-5 Well-Being Index' and 'Self-Stigma of Mental Illness Scale Short Form' were completed by 92 participants as part of a pre-post-evaluation while two focus groups (n = 10) provided further explanations regarding impacts on the three topics. Statistical analyses include paired sample t-test or Wilcoxon signed rank tests for pre-post-test comparisons as well as Cohen's d to determine effect sizes. For all three questionnaires, significant improvement was shown in the desired direction with low to medium effect sizes. A higher number of courses attended did not result in higher scores in the outcome measurements. The qualitative analysis confirmed these results by providing insights of specific aspects of these positive impacts. These include increased social inclusion, improvement in attitudes towards one's life and identity, increased engagement in hobbies and healthy behaviours, positive impacts on well-being and decreased self-stigmatisation. The findings indicate that Recovery Colleges should be made available continuously and further developed also in other regions of Switzerland. Similar projects require continuous evaluation in early development to ensure effectiveness and improve quality.

Excessive health behaviors in sports: links of orthorexia nervosa and exercise addiction with well-being, exercise activity in sports categories, and gender effects

Background and aimsOrthorexia nervosa (OrNe), the obsessive fixation on healthy eating, and exercise addiction (ExAdd) have been discussed as correlated excessive health behaviors with potential mental health implications. The role of gender-and sports-specific differences remains unclear. This study aimed to investigate the links of ExAdd, OrNe, and the non-pathological interest in healthy eating (healthy orthorexia; HeOr) with well-being and exercise activity in various sports, considering gender effects.MethodsData from two cross-sectional online surveys were combined (N = 1,064, 73.5% women, age = 28.23 ± 11.09), measuring ExAdd (Exercise Addiction Inventory Revised), OrNe and HeOr (Teruel Orthorexia Scale), well-being (WHO-5 Well-Being Index), exercise activity and sports (Physical Activity, Exercise, and Sport Questionnaire).ResultsWell-being correlated with OrNe among women (r = −0.291) and not meaningfully with ExAdd and HeOr among men. Gender differences were not significant, except for the higher correlation of ExAdd with exercise activity in resistance and fitness sports among men. Regression analyses revealed that exercise activity, especially in health, resistance and fitness sports, was linked to HeOr, but not to OrNe. ExAdd was associated with exercise activity in endurance, resistance and fitness, ball and team, antigravitation, technical, aesthetic sports, and martial arts.DiscussionMen’s well-being may slightly benefit from ExAdd and an interest in healthy eating, while obsessive healthy eating may reduce women’s well-being. Although exercise activity is associated with ExAdd in a wide variety of sports, it does not explain the link between ExAdd and OrNe. Preventive measures should consider gender-specific risks in excessive health behaviors.

Lifelong learning in rural communities in China and its impact on adult subjective well-being

At present, lifelong learning is becoming an increasingly important topic in the context of rapid sociocultural and economic changes. In Chinese rural communities with potential limitations in access to education and developed resources, this approach may be of particular importance for improving the quality of life and community development. This research examined the impact of a lifelong learning program in Chinese rural communities on subjective well-being. The authors randomized participants into experimental and control groups (N = 214), used the WHO-5 Well-Being Index to measure well-being, and performed a statistical analysis using a t-test. They compiled and implemented a 6-month program: Rural Communities on the Move: A Program for Continuous Development. Data analysis demonstrated a significant well-being increase in the experimental group after the program completion (P = 0.00) and insignificant changes in the control group. These findings point to the program's effectiveness in improving the subjective well-being of rural residents and can be an important contribution to the development of social programs and educational initiatives aimed at improving the quality of life and maintaining well-being in rural communities not only in China but also in other countries.

The effects of psychological flexibility and night shifts on mental health and well-being in nurses.

Examining mental health among nurses in the later stages of the COVID-19 pandemic could offer valuable information for addressing these symptoms in the long term. Therefore, the current study aimed to assess the mental health and well-being of Chinese nurses, as well as investigate the impact of psychological flexibility and night shifts on this relationship. In cross-sectional, hospital-based, multicenter study, 422 Chinese nurses were selected by multistage stratified cluster random sampling. The mental health status, psychological flexibility, and wellbeing were assessed via 12-item General Health Questionnaire (GHQ-12), Chinese version of Personalized Psychological Flexibility Index, and Chinese version of the 5-item WHO Well-Being Index, respectively. To examine the proposed theoretical model, we conducted structural equation modeling using SPSS Amos 26 version. The age, gender, night shift, psychological flexibility, mental health, and well-being data were entered into the model. Pearson correlation and chi-square were used to explore the correlation between variables. The high night shifts, being young and low psychological flexibility significantly had a direct effect on worse mental health (night shifts: ES, 95% CI: 0.619, 0.328-0.725; age: ES, 95% CI: 0.542, 0.226-0.993; psychological flexibility: ES, 95% CI: 0.675, 0.369-1.466). The low psychological flexibility and worse mental health were able to directly effect on worse wellbeing (psychological flexibility: ES, 95% CI: 0.419, 0.757-1.519; mental health: ES, 95% CI: 0.719, 1.109-2.607). In addition, psychological flexibility through the mediation of mental health also had an indirect effect on wellbeing (ES, 95% CI: 0.269, 0.957-2.165). Being young, having more night shifts and having less psychological flexibility can be related to the deterioration of mental health and well-being in nurses. Therefore, it is recommended that nurses use the shift routine program with the least focus on the night shifts. Also, interventions to teach younger nurses how to face work stress and interventions to improve the psychological flexibility of all nurses are needed.

Scalable Technology for Adolescents and Youth to Reduce Stress in the Treatment of Common Mental Disorders in Jordan: Protocol for a Randomized Controlled Trial.

Young people in low- and middle-income countries encounter significant barriers to accessing mental health support due to various factors, including a substantial treatment gap and limited health care budgets allocated to mental health. Using innovative strategies, such as scalable digital self-help psychological interventions, offers a potential solution for improving access to mental health support. However, digital mental health interventions come with their own set of challenges, including issues related to low user engagement. Chatbots, with their interactive and engaging nature, may present a promising avenue for the delivery of these interventions. This study aims to explore the effectiveness of a newly developed World Health Organization (WHO) digital mental health intervention, titled Scalable Technology for Adolescents and Youth to Reduce Stress (STARS). A single-blind, 2-arm randomized controlled trial will be conducted nationally across Jordan. Participants will include 344 young adults, aged 18-21 years, currently residing in Jordan. Inclusion criteria are heightened levels of psychological distress as determined through the 10-item Kessler Psychological Distress Scale (≥20). Assessment measures will be conducted at baseline, 1-week post intervention, and 3-month follow-up. Following baseline assessments, eligible participants will be randomized to receive STARS or enhanced usual care. The primary outcomes are the reduction of symptoms of depression and anxiety (Hopkins Symptom Checklist, 25 subscales) at 3-month follow-up. Secondary outcomes include general functioning (WHO Disability Assessment Schedule 2.0), well-being (WHO-5 Well-Being Index), personal problems (Psychological Outcomes Profile), and agency (State Hope Scale subscale). The study was funded in January 2020 by the Research for Health in Humanitarian Crises Programme (Elhra) and recruitment for the trial started on July 16, 2023. As of November 15, 2023, we randomized 228 participants. This trial intends to contribute to the growing digital mental health evidence base by exploring technological solutions to address global public health challenges. Given the widespread use of technology globally, even in resource-constrained settings, and the high adoption rates among adolescents and young individuals, digital initiatives such as STARS present promising opportunities for the future of mental health care in low- and middle-income countries. ISRCTN Registry ISRCTN10152961; https://www.isrctn.com/ISRCTN10152961. DERR1-10.2196/54585.

The mediating and moderating role of coping on occupational stress and psychological well-being among the construction workforce in South Africa: the psychological stress theory approach

Purpose The purpose of this cross-sectional study is to examine the direct relationships between occupational stress (OccS), coping and well-being (WB). The study further examined the mediating and moderating roles of adaptive coping and maladaptive coping on OccS and WB among the construction workforce in South Africa. Design/methodology/approach Data were collected from construction companies in South Africa, and the sample were conveniently selected based on proximity and familiarity with the researcher. A total of 201 subjects were suitable for conducting the study after data were screened. A quantitative research approach was used, and data were analysed in IBM SPSS v28 for descriptive statistics and exploratory factor analysis. The reliability and validity of the constructs were measured and met the minimum thresholds. Furthermore, IBM AMOS v28 was used for confirmatory factor analysis and structural equation modelling to test the hypothesised relationships. Process macro v4.2 was also used to test the mediation and moderation relationships. Psychological well-being was measured using the validated WHO-5 Well-being Index Measure. Findings The finding of the study revealed that subjective well-being was good, with a score of 77.97 out of 100. The finding also revealed that there were no significant relationships for the hypothesised mediation relationships between either adaptive coping and maladaptive coping as mediators between OccS and WB, although there was a partial mediation relationship when both maladaptive and adaptive coping mediated the relationship between OccS and WB. Furthermore, adaptive coping acted as a moderator between OccS and WB. Research limitations/implications The study only focuses on the mediation and moderation relationships between OccS and subjective WB. Adaptive coping was limited to social support and active coping, while WB was limited to quality of life. The study is quantitative and suffers from the limitations associated with this type of research. Furthermore, while sound measures were used to ensure validity and reliability, the study relied on the opinions of the respondents, and opinions may not necessarily present facts. Practical implications This study highlighted some of the effects of coping on mental well-being of the South African construction workforce. The findings provide insight to some areas of concern relating to OccS management to improve the overall WB of the workforce. Social implications The construction industry relies on a healthy and active workforce. To ensure sustainability of the workers and to ensure that each worker returns home safe to their family, it is important to address workers mental health especially at work where workers spend majority of their time. This is important in an industry that employs the poor and marginalised. Originality/value This study addressed both the knowledge and population gap. Majority of the study have focused on construction professionals who constitute about 30% of the entire workforce. The current study examined stress across all professions. Furthermore, the study used the psychological stress theory to examine coping and its impact on the workforce.

Can grit predict well-being?

BackgroundBurnout affects over 50% of surgical residents, and efforts focused on well-being during training are needed. Grit, defined as perseverance toward achieving long-term goals, is a measure of mental fortitude and may be protective against burnout and predictive of well-being.MethodsAn anonymous electronic survey was distributed to surgical and non-surgical resident trainees as well as general surgery faculty. Grit was measured using a 12-question validated Grit Scale and well-being was measured using a 5-question validated WHO-5 Well-Being Index. Linear regression was used to identify associations between post-graduate year (PGY), grit, and well-being. Student’s t-test was used to compare grit and well-being scores among male and female trainees.Results23/38 (60.5%) surgical residents completed the survey. Grit scores ranged from 3 to 4.67 (scale of 1–5) and well-being scores from 24 to 84 (scale of 0–100). There was no correlation between grit and well-being (R2 = 0.01, p < 0.63) or between PGY class and grit (R2 = 0.06, p < 0.27). However, there was a positive correlation between PGY class and well-being (R2 = 0.18, p < 0.05). Female residents trended towards higher grit (4.12 female vs 3.76 male, p < 0.07) and lower well-being (53 vs 60, p < 0.18). Compared with non-surgical residents, there were no significant differences in mean grit or well-being. The pooled trainee group demonstrated a positive correlation between PGY class and well-being (R2 = 0.09). Faculty reported higher grit (4, p < 0.03) and well-being (68.8, p < 0.002) than residents.ConclusionDespite high overall grit, trainees experience relatively low well-being; this effect is exaggerated in females. Grit and well-being trend to increase with PGY years and as faculty. The lack of association between grit and well-being in trainees suggests that intrinsic grit is not enough; well-being is impacted by external factors and encourages future work to identify and modify these factors for a positive impact on trainees.

Job Satisfaction Among First-Generation Migrant Physicians in Anesthesiology and Intensive Care Medicine in Germany.

This study examines job satisfaction, burnout, and well-being among first-generation migrant physicians in anesthesiology and intensive care medicine in Germany, comparing them to their native German counterparts. A cross-sectional survey design was utilized, collecting data from 513 physicians, 110 of whom identified as having a migration background. Job satisfaction was measured using the Warr-Cook-Wall (WCW) Job Satisfaction Scale, burnout was assessed with the Copenhagen Burnout Inventory (CBI), and well-being was evaluated using the WHO-5 Well-Being Index. The job satisfaction ratings revealed no significant differences between migrant and German physicians in most dimensions, including physical workload, freedom to choose work methods, satisfaction with colleagues, responsibility, income, skill utilization, and variety in work tasks. However, migrant physicians reported significantly higher satisfaction with recognition received for their work and lower dissatisfaction with working hours. Burnout assessments showed that migrant physicians experienced higher psychological strain, perceiving every work hour as more exhausting and having significantly less energy for family and friends. Migrant physicians reported higher difficulty and frustration in working with patients. Well-being items indicated that migrant physicians felt less energetic and active but found their daily life more filled with interesting activities. Notably, the multivariate analyses of the total scale scores did not show significant associations between migration background and the overall outcome scales. The findings indicate unique challenges faced by migrant physicians, particularly in terms of recognition and patient-related burnout. These results highlight the need for targeted interventions to support migrant physicians, including cultural competence training and flexible working hours to enhance their job satisfaction and overall well-being. Addressing these issues is crucial for maintaining the quality of patient care and the occupational health of migrant physicians in Germany.

Caregiving burden, social support, and psychological well-being among family caregivers of older Italians: a cross-sectional study.

This study aimed to identify factors affecting the psychological well-being of family caregivers of dependent older adults in Italy. Understanding these variables is essential for designing interventions to prevent negative outcomes in at-risk caregivers. The research explored how varying levels of caregiving burden and types of perceived social support influence psychological well-being. A cross-sectional study was conducted among 387 family caregivers of older adults in the Marche region (Italy) between November 2019 and March 2020. Data were collected via a structured questionnaire assessing psychological well-being (WHO-5 Well-Being Index), caregiving burden, and social support (COPE Index). Statistical analyses were performed using Jamovi software, with a significance threshold set at p < 0.05. A significant negative correlation was found between caregiving burden and psychological well-being [r (364) = - 0.540, p < 0.001], with caregiving burden being a significant predictor of psychological well-being reduction (R 2 = 0.290; F = 150, p < 0.001). A threshold value of 2 (on a 1-4 scale) was identified, where caregiving burden predicted a significant reduction in psychological well-being. Conversely, greater perceived social support was positively correlated with better psychological well-being [r (357) = 0.348, p < 0.001] and was a significant predictor of it [R 2 = 0.121; F = 49.2, p < 0.001]. Support from social and health services had the most notable impact on psychological well-being. Moreover, social support mitigated the negative impact of caregiving burden on psychological well-being. The study confirms that high caregiving burden adversely affects caregivers' psychological well-being, while social support plays a protective role. These findings highlight the need for interventions focused on reducing caregiving burden and enhancing support systems for family caregivers.

An exploratory cross-cultural study of community-based health literacy interventions to promote the mental well-being of disadvantaged and disabled young Africans: a multi-method approach.

This study explores the impact of community-based health literacy interventions on the health and mental well-being of disadvantaged young Africans in Zambia, Sierra Leone, Rwanda, and South Africa. The pandemic has exacerbated mental health problems amongst children and young people, underscoring the urgent need for equitable access to mental healthcare resources. Emphasizing the importance of equitable access to mental healthcare resources, the research addresses educational and income disparities in low- and middle-income countries (LMICs), particularly amongst young Africans with disabilities or vulnerabilities. The study comprised 1,624 young Africans, of whom 1,592 were surveyed, while 191 later participated in in-depth interviews and focus groups. Additionally, 32 participants exclusively joined focus groups. Participants were recruited to complete the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS), WHO-5 Well-being Index, Pandemic Anxiety Scale (PAS), and Self-rating of Happiness, as well as semi-structured interviews or focus groups. The findings highlight the significance of tailored health literacy interventions in addressing mental health challenges and promoting well-being in marginalized African communities. In the sample, 43.1% (686) reported to have at least a physical disability or serious health condition and 51.4% (818) had special educational needs (SENs). Mental health scores were significantly lower in participants with two or more physical disabilities and pre-existing mental health problems. Factors significantly associated with poor mental health included poor health literacy, physical disabilities, and pre-existing mental health problems. Four main themes were generated from the thematic analysis: early childhood trajectories and mental illness experiences; positionality, open communication, and mental illness experience; mental illness experience, emotional honesty, and social stratification; and spirituality, cultural beliefs, and mental illness experience. The study emphasizes the need for context-specific, culturally appropriate health literacy interventions to support the mental health and well-being of young Africans in LMICs. By focusing on the lived experiences of disadvantaged groups, the research contributes to a better understanding of effective strategies for promoting health literacy and addressing health inequalities in African communities during and after health emergencies.

Assessing the psychometric properties of the World Health Organization -five well-being index (WHO-5) in Filipino samples amid the COVID-19 pandemic

BackgroundThe WHO-5 well-being index is a brief rating scale extensively used to evaluate well-being symptoms. Despite the increasing number of studies validating this instrument across different samples from different countries, its psychometric properties remain unexplored in the Philippine context. Bridging this gap, the present study assessed the psychometric properties of the WHO-5 in Filipinos amid the pandemic.MethodsIn study one, exploratory structural equation modeling (ESEM) was conducted using a sample of Filipinos (N = 2,521) from the general population and a unidimensional model of well-being was extracted. In study two, confirmatory factor analysis (CFA) was employed to examine the one-factor model in 1,289 Filipino government workers. In study three, nomological validity was examined by performing a mediation analysis using 407 Filipino left-behind emerging adult children with dysfunctionality as mediator, pandemic-related adversities as independent variable, and well-being as the dependent variable.ResultsThe results of ESEM and CFA provided support for the WHO-5 one-factor model. Moreover, the negative relationship of well-being to anxiety, depression, and distress lend evidence to the scale’s criterion validity. The results of the mediation analysis performed in study three implied that those who experienced pandemic-related adversities tended to have greater dysfunctionality, and in turn, had lower levels of well-being.ConclusionsOverall, the findings suggest that the WHO-5 well-being index is a psychometrically sound tool for measuring Filipinos’ well-being.

Assessing well-being of university students and evaluation of its determinants

BackgroundOur study aimed to examine the well-being of students studying at the three (non-medical) faculties of Semmelweis University Budapest, to analyse the relationships between well-being, stress, emotional support, sleep patterns, sport, and further variables like smoking, consumption of sleeping pills, sedatives, psychoactive agents, energy drinks, and exam anxiety.MethodsIn our cross-sectional study, we asked 561 students of the Semmelweis University of Budapest; two internationally recognised instruments were used: the WHO-5 well-being index and the Perceived Stress Scale.ResultsThe mean WHO-5 well-being index was 42.62 ± 20.51 on a scale ranging from 0 to 100. We saw an inverse correlation between student well-being and years of study. The average anxiety level regarding oral exams and assessments was 7.63 ± SD = 2.04, while the mean level was lower concerning written exams and assessments 5.74 ± SD = 2.09. The result of a linear regression model indicates that the best level of explaining power by the regression model was with following variables combination: grade average + anxiety before written exam + academic year + stress.ConclusionOur data indicate that some students have poor or very poor well-being, which fluctuates over the study period. The worst state was found in the first and final academic year. The students’ well-being level is positively correlated with emotional support, physical activity, and quality of sleep and correlates negatively with anxiety before exams. Our results suggest that well-being could be improved when universities play an active role, supporting influential activities and offering help regarding coping with stress, like stress management, as well as by providing information on learning methods and techniques.

Insights into medication adherence among Jordanian patients with dyslipidemia: evaluating health literacy, well-being, and doctor-patient communication.

This study aimed to assess medication adherence among Jordanian patients with dyslipidemia and evaluate the impact of health literacy, well-being, and doctor-patient communication on adherence in this population. Dyslipidemia is a prevalent condition that significantly increases the risk of cardiovascular diseases, and understanding the factors influencing medication adherence is crucial for improving patient outcomes. An observational cross-sectional study was conducted from March to July 2023. A convenience sample of adult Jordanians diagnosed with dyslipidemia was surveyed in a tertiary hospital using validated scales: the Lebanese Medication Adherence Scale-14 (LMAS-14), the Doctor-Patient Communication Scale (DPC), the WHO well-being index, and the health literacy scale. Bivariate analysis and linear regression models were employed to analyze associations. Among 410 participants (mean age 58.62 ± 12.11 years), the mean scores were LMAS-14 (35.10), DPC (55.77), WHO well-being (47.53), and health literacy (38.96). Higher medication adherence was associated with older age (B = 0.093, p = 0.049), university education (B = 2.872, p = 0.017), prior surgery (B = 2.317, p = 0.021), medium income level (B = 3.605, p = 0.006), and better doctor-patient communication (B = 0.166, p = 0.003). Conversely, cigarette smoking (B = -3.854, p = 0.001) and health insurance (B = -2.146, p = 0.039) were linked to lower adherence. The findings underscore the substantial interplay of socio-demographic and clinical factors affecting medication adherence. Enhanced public health interventions focusing on improving health literacy, communication quality, and addressing socio-economic conditions are vital for better adherence and patient outcomes in Jordan.

Psychological wellbeing among carers of children and adolescents with physical disabilities in North-Eastern Tanzania-a cross-sectional survey study.

Caring for physically disabled children, particularly in contexts where resources are often insufficient or absent, exposes primary carers to significant psychological strain. The lack of structured mechanisms to address this psychological burden poses a considerable threat to the wellbeing of both carers and the children with disabilities under their care. However, research on the psychological wellbeing of carers in Tanzania is scarce. This study aimed to evaluate the psychological wellbeing and symptoms of anxiety and depression, along with associated factors, of carers of children, and adolescents with physical disabilities in the Kilimanjaro region. A cross-sectional survey was conducted from November 2020 to June 2021 in the Kilimanjaro region, involving 212 carers. The Swahili versions of the WHO-5 Wellbeing Index and Hopkins Symptoms Check List-25 were used to assess psychological wellbeing and symptoms of anxiety and depression. Data were analysed using IBM SPSS Statistics V.28. Multivariable linear and binary logistic regression were used to assess the associations. More than four fifths (81%) of the carers were parents, and most of these parents were mothers (92%). Of the 212 carers, more than half (51%) exhibited poor psychological wellbeing, 42% had symptoms of anxiety, and 38% symptoms of depression. Notably, poor psychological wellbeing was significantly associated with symptoms of anxiety and depression. Results of a multivariable regression analysis indicated that extended family support was associated with better psychological wellbeing and lower odds of symptoms of anxiety and depression. A higher estimated monthly income was associated with better psychological wellbeing, and lower odds of symptoms of depression. Access to rehabilitation for the child was associated with improved psychological wellbeing and decreased likelihood of symptoms of anxiety. Many carers of children, and adolescents with physical disabilities in Tanzania are at high risk of having poor psychological wellbeing, and symptoms of anxiety and depression. Support from extended-family networks is crucial in promoting good psychological wellbeing. The government in Tanzania should improve rehabilitation services, especially in disadvantaged rural areas, and integrate mental-health screening for carers in both rehabilitation programmes and primary healthcare.

Successful Aging and Self-Neglect Among Community-Dwelling Older People.

It was aimed to explore the relationship between successful aging and self-neglect and factors affecting successful aging among community-dwelling older people. This cross-sectional study was conducted with 316 participants aged 60 years and older in a Family Health Center (FHC). The data were collected by using the questionnaire form, Successful Aging Scale and Self-Neglect Scale. The questionnaire form includes sociodemographic characteristics, independence (Katz Daily Life Activities Scale) and well-being status (WHO-5 Well-Being Index), psychosocial support (Multidimensional Perceived Social Support Scale), and depressive symptoms (two questions-complaints such as feeling depressed or hopeless and loss of interest and inability to enjoy life). Participants had a mean age of 67.5 (SD: 6.5) years, 55.4% were female. A strong positive correlation was determined between successful aging score and self-neglect score (r = 0.741, p < 0.001). Factors affecting successful aging were age, working status, education level, body mass index, physical activity, subjective health perception, health screening status, self-neglect level, depressive symptoms, independence in activities, well-being status, and psychosocial support. Gender, income status, chronic disease presence, cigarette and alcohol use, living alone, and family type did not affect it. According to multivariate linear regression, the factors affecting successful aging were age, psychosocial support presence, and self-neglect level (p < 0.05). Older people have low successful aging and self-neglect scores. Successful aging is better at a young age, in the presence of psychosocial support and a low level of self-neglect. It is recommended to increase the existence of psychosocial support for them and to plan interventions to reduce self-neglect.

Perception on body image and its associated factors among undergraduates in selected faculties of a state university in Sri Lanka

Background: Perception on body image; the way individuals see or feel about their physical appearance, can influence one's mental well-being, self-esteem and lifestyle. Since there is a dearth of research on this in Sri Lanka, the perception of body image among undergraduates, who are an active social group, demands a com-prehensive understanding.Objective: To describe the perception on body-image and its associated factors among undergraduates in selected faculties of a state university in Sri Lanka.Method: A descriptive cross-sectional study was conducted among 389 undergraduates selected through convenience sampling from the faculties of Applied Sciences, Medical Sciences, Management and Commerce and Humanities and Social Sciences of the University of Sri Jayewardenepura. Data was collected through a validated, pre-tested, self-administered questionnaire circulated as a Google form via social media. Perception on body image, mental well-being and self-esteem were assessed using the Body-focused shame and guilt scale (minimum 0, maximum 88, cut-off 37), WHO-5 well-being index (minimum 0, maximum 100, cut-off 40) and Rosenberg self-esteem scale (minimum 10, maximum 40, cut-off 28) respectively. All attributes were dichotomized using the means obtained from the pilot test.Results: Majority of the participants were females (n=270, 69.4%). Median age was 23 years (IQR=4). Majority (n=242, 62.2%) showed normal BMI (18.5-24.9). Two of every five undergraduates tend to have a negative perception on their body image.Among the participants who had negative per-ceptions on their body image, 69.0% had poor mental well-being, 72.3% had low self-esteem and 61.3% were highly concerned about fashion and cosmetics to improve their appearance.Conclusions: TNegative perception on body image is a hidden problem among undergraduates in Sri Lanka. The association of one’s gender, mental well-being, self-esteem and fashion with body-image perception is significant.

The Impact of Flavonoid Supplementation on Serum Oxidative Stress Levels Measured via D-ROMs Test in the General Population: The PREVES-FLAVON Retrospective Observational Study.

Oxidative stress has emerged as a key contributor to numerous NCDs (non-communicable diseases), including cardiovascular diseases, cancer, and diabetes. This study aims to explore the potential of targeted interventions to mitigate oxidative stress as part of a primary prevention strategy. The study included 32 healthy participants (11 men, 21 women) aged 45-65 who completed both the initial and follow-up assessments of the Healthy Days Initiative, a community-based wellness program organized by the non-profit Associazione O.R.A. ETS. Through blood analysis, vital sign assessment, lifestyle questionnaires, and individualized recommendations, participants received guidance on improving their health and reducing disease risk. The initiative also offered the opportunity for participants to consume a flavonoid supplement containing quercitrin, rutin, and hesperidin, with the goal of reducing oxidative stress. Participants who opted for supplementation were instructed to take 1-2 tablets daily for two weeks. Data collected included demographic information, anthropometric measurements, vital signs, dietary and lifestyle habits, medical history, WHO-5 Well-Being Index scores, and blood parameters. Significant reductions were observed in glucose levels (from 82 to 74.5 mg/dL), reactive oxygen metabolites (d-ROMs) (from 394.5 to 365.5 U.CARR), and systolic blood pressure (from 133 to 122 mmHg) after the two-week flavonoid intervention. Most participants (26/31) reported no side effects, and the majority (30/31) expressed a willingness to continue using a product combination of quercitrin, rutin, and hesperidin or a similar product long-term. While limited in scope and duration, the PREVES-FLAVON study contributes valuable insights to the growing body of evidence suggesting that flavonoid supplementation may play a significant role in reducing risk factors associated with NCDs in primary prevention settings. By targeting novel risk factors such as oxidative stress, this intervention holds promise for mitigating the global burden of NCDs and promoting healthy aging.

Evaluating the Effect of a Novel Digital Ostomy Device on Leakage Incidents, Quality of Life, Mental Well-Being, and Patient Self-Care: An Interventional, Multicentre Clinical Trial

Background: Most people with a stoma worry about leakage, and a quarter experience leakage of stomal effluent outside the baseplate on a monthly basis. Leakage has additional physical and psychosocial consequences, for instance, peristomal skin complications, feeling unable to cope, and self-isolation. Method: An interventional, single-arm, multi-centre study was undertaken in the United Kingdom to evaluate a novel digital leakage notification system for ostomy care, including a support service (=test product) for 12 weeks in patients with a recent stoma formation (≤9 months). Patients completed questionnaires at baseline and after 4, 6, 8, 10, and 12 weeks, evaluating leakage episodes, Ostomy Leak Impact (tool containing three domains), and patient self-management (by PAM-13). Additionally, mental well-being (by WHO-5) and health-related quality of life (QoL) (by EQ-5D-5L) were assessed. Outcomes between baseline and final evaluation were compared by generalised linear and linear mixed models. Results: 92 patients (ITT population) with a mean age of 49.4 years (range 18–81 years) were recruited. Of these, 80% had an ileostomy, and 53% were female. After 12 weeks of using the test product, a significant decrease in mean episodes of leakage outside the baseplate (1.57 versus 0.93, p &lt; 0.046) was observed. Ostomy Leak Impact scores improved across all three domains (p &lt; 0.001), indicating less embarrassment, increased engagement in social activities, and increased control. Patient self-management also improved significantly (PAM-13 score: ∆6.6, p &lt; 0.001), as did the WHO-5 well-being index (∆8.0, p &lt; 0.001). Lastly, EQ-5D-5L profile scores tended to improve (p = 0.075). Conclusions: A new digital leakage notification system demonstrated strong improvements to patients’ stoma self-care, mental well-being, and QoL. Registration number on ClinicalTrials.gov: NCT05135754.

The impact of temporary residence permit on symptom severity and treatment outcome among refugees with PTSD

Despite an increased focus on the impact of post-migratory factors on the health of trauma-affected refugees, research on the influence of residence permit is limited. This influence may manifest on the outcome of psychiatric treatment. Accordingly, the aim of this study was to examine the role of temporary residence permit on symptom severity and treatment outcome among trauma-affected refugees in PTSD treatment. The sample consisted of 897 patients, who were allocated into three groups based on their residence permit: temporary residence permit, permanent residence permit, and Danish citizenship. The outcome measures were symptoms of PTSD (Harvard Trauma Questionnaire), depression and anxiety (Hopkins Symptom Checklist-25 and Hamilton Depression and Anxiety Rating Scales), quality of life (WHO-5 Well-being Index), and functioning (The Sheehan Disability Scale), evaluated before and after psychiatric treatment. Temporary residents tended to have less severe symptoms prior to treatment. Overall, no significant differences were observed between the three groups on treatment outcome. However, Danish citizens had a poorer treatment outcome on Hamilton Depression Scale compared with temporary residents. This study is one of the first to investigate treatment implications of residence permit in a clinical setting. The interactions between mental health and individual post-migratory factors are complex. Further research is still needed to understand how residence status affects mental health and treatment outcomes for refugees.

The psychometric properties of the Swahili version of the Primary Care Post Traumatic Stress Disorder screen for DSM-5 among adults in Kenya.

The psychometric properties of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) are undocumented in Kenya and sub-Saharan Africa (SSA) at large. This study aimed to evaluate the psychometric properties of the Swahili version of the tool, S-PC-PTSD-5, in a community sample of adults 18 years and older drawn from Nairobi, Mombasa and Kwale counties in Kenya. Analysis of cross-sectional data from 1431 adults from the community was conducted, examining the reliability, factorial structure, measurement invariance, and convergent and divergent validity of the interviewer-administered S-PC-PTSD-5. Out of 1431 adults who completed the S-PC-PTSD-5, 666 (46.5%) reported experiencing at least one traumatic event. Internal consistency of the S-PC-PTSD-5 was good overall, with alpha and omega values above 0.7. Confirmatory factor analysis (CFA) results indicated a one-factor structure of the S-PC-PTSD-5 for the overall sample. Multigroup CFA also demonstrated factorial invariance for sex for the one-factor structure of S-PC-PTSD-5. Scores for S-PC-PTSD-5 significantly correlated (positively) with those of generalized anxiety disorder (GAD7) and depressive symptoms (PHQ9), indicating convergent validity. S-PC-PTSD-5 scores also significantly correlated (negatively) with the WHO-5 wellbeing index, supporting divergent validity. The S-PC-PTSD-5 is a reliable and valid unidimensional measure. It appears to be a valuable screening measure for probable PTSD in both urban and rural community settings in Kenya. Nonetheless, to confidently identify those who may need treatment/additional support, further research on the reliability and validity of S-PC-PTSD-5 is required, especially its diagnostic accuracy at different cutoff scores.